Active NPI
Tayla Sickelka, TLMHC
- Mental Health Counselor
- Orange City, IA
National Provider Identifier
1891572541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 120909
- Practice address
- 111 Arizona Ave NW
Orange City, IA 51041-1425 - Phone
- (712) 737-9444
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 120909 | IA | Primary |
Addresses
Primary practice location
111 Arizona Ave NW
Orange City, IA 51041-1425
Mailing address
111 Arizona Ave NW
Orange City, IA 51041-1425
Phone (712) 737-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120909 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Therapy Services LLC | Current | Accepting new patients | |
| All Things New Therapy Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Primghar, IA
- NPI 1942132352
-
- Community/Behavioral Health Agency
- Orange City, IA
- NPI 1972992659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1891572541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ARIZONA AVE NW",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411425",
"telephone_number": "712-737-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ARIZONA AVE NW",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411425",
"telephone_number": "712-737-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKELKA",
"first_name": "TAYLA",
"credential": "TLMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "120909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.